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目的通过干预前后抗菌药物使用情况的对比,了解干预对围术期预防性使用抗菌药物的影响,对干预的效果进行评价。方法回顾性调查2011年与2014年Ⅰ类切口手术患者使用抗菌药物情况进行对比统计分析。结果围术期预防感染性用药比例从干预前的98.9%降至21.3%,抗菌药物品种选用合理率明显提高,平均预防用药天数明显降低。结论通过干预和监管后,使用情况得到很大的改善,使用率降低,用药疗程缩短,我院Ⅰ类切口预防性用药得到明显的规范化和合理化。
Objective To compare the use of antimicrobial agents before and after intervention to understand the impact of intervention on the prophylactic use of perioperative antibacterial drugs and evaluate the effect of intervention. Methods The retrospective investigation of the use of antimicrobial agents in patients with type Ⅰ incision in 2011 and 2014 was conducted to compare and analyze the situation. Results Perioperative prophylaxis of infectious drugs decreased from 98.9% before intervention to 21.3%. The reasonable selection rate of antibacterial drugs was significantly improved, and the average number of days of preventive medication was significantly decreased. Conclusions After intervention and supervision, the usage is greatly improved, the usage rate is reduced and the course of medication is shortened. The prophylactic use of Class Ⅰ incision in our hospital has been obviously standardized and rationalized.